A class-D audio amplifier for a digital hearing aid is described. The class-D amplifier operates with a pulse-code modulated (PCM) digital input and consists of an interpolation filter, a digital sigma-delta modulator (SDM), and an analog SDM, along with an H-bridge power switch. The noise of the power switch is suppressed by feeding it back to the input of the analog SDM. The interpolation filter removes the unwanted image tones of the PCM input, improving the linearity and power efficiency. The class-D amplifier is implemented in a 0.13-${mu}m$ CMOS process. The maximum output power delivered to the receiver (speaker) is 1.19 mW. The measured total harmonic distortion plus noise is 0.015%, and the dynamic range is 86.0 dB. The class-D amplifier consumes 304 ${mu}W$ from a 1.2-V power supply.